VAGINAL HYSTERECTOMYUSING VESSEL SEALING CLAMP VERSUS CONVENTIONAL SURGERY; A RANDOMISED TRIAL

Objective: To compare the effects of electrical bipolar vessel sealing clamp and conventional suturing on postoperative pain, operative time, blood loss, and costs, in women undergoing vaginal hysterec- tomy.
Patients and Methods: 20 women scheduled to undergo vaginal hysterectomy for prolapsed and non prolapsed uterus with benign indication of hysterectomy. Women were randomizedrandomly into two groups;Conventional vaginal surgery Groupand a Group using vessel sealing Erbe machine.Ten patient in each group. Operative time, intraoperative assessment of blood loss, postoperative pain, and estimated cost were evaluated and compared between both groups.
Results: Pain was evaluated few hours post-operative.Patients in the vessel-sealing clamp group showed statisticallysignificant less pain (5.7 versus 4.5 on a scale of 0–10, P= 0.03), but this followed by comparable pain in both groups later. Operative time wasshorter in vessel sealing clamp group (39 versus 61 minutes =  P< 0.05). Amount of Blood lostwas also less vessel sealing clamp group.How- ever, regarding the estimated coast, no significant difference between both groups (2903 versus 3102, P=0.26).
Conclusion: Using electrical bipolar vessel sealing clamp during vag- inal hysterectomy showed less pain on the first few hours after surgery but not in the following days, shorter operative time, less operative blood loss, with no statistically significant differences in costwere found between the two groups. (Pictures and videos available).